| NPI | 1457701443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001641) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001411) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0015434) | |
| 172A00000X Driver | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2025-03-27 |